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Colorectal barotrauma following compressed air spray to the perineum
Forensic Science, Medicine and Pathology ( IF 1.8 ) Pub Date : 2021-09-17 , DOI: 10.1007/s12024-021-00421-w
Mariem Bel Hadj 1, 2 , Ibtissem Korbi 2, 3 , Dorra Oualha 1, 2 , Nouha Ben Abdeljelil 2, 4 , Nidhal Haj Salem 1, 2 , Ali Chadly 1, 2
Affiliation  

Colorectal injuries caused by high-pressure air compressors are rare and reported especially among industrial workers. They may appear because of intended or accidental injury. In the present paper, we report a case of colorectal injuries due to air insufflation from a distance towards the anus with the clothes on, as a means of a practical joke. The patient presented one day after the trauma to the Emergency Department with complaints of severe abdominal pain and vomiting. On examination, he had signs of peritonitis. A computed tomography (CT) scan did not show any perforation. Emergency laparotomy was performed with the suspicion of pneumatic pressure-induced lesions. A total resection of the colon was made with enterostomy. The pathologic examination of the resected piece revealed multiple gangrenous areas without perforation associated to signs of peritonitis. Follow up was uneventful. A reversal of the enterostomy was scheduled.



中文翻译:

将压缩空气喷射到会阴后导致结直肠气压伤

由高压空气压缩机引起的结直肠损伤很少见,尤其是在工业工人中。它们可能因故意或意外伤害而出现。在本文中,我们报告了一个因从远处向肛门吹气而导致结肠直肠损伤的案例,作为一种恶作剧的手段。患者在创伤后一天到急诊科就诊,主诉严重腹痛和呕吐。经检查,他有腹膜炎的迹象。计算机断层扫描 (CT) 扫描未显示任何穿孔。怀疑是气压引起的病变,因此进行了紧急剖腹探查。用肠造口术对结肠进行全切除。切除部分的病理学检查显示多个坏疽区域,没有与腹膜炎迹象相关的穿孔。跟进很顺利。安排了肠造口术的逆转。

更新日期:2021-09-17
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